FEC Form 1 for Purdue Pharma Inc. Political Action Committee (Purdue PAC)Form 1 for Purdue Pharma Inc. Political Action Committee (Purdue PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1147366

1. Purdue Pharma Inc. Political Action Committee (Purdue PAC)

One Stamford Forum
Stamford, CT 06901
Email: Brad.Griffin@pharma.com

2. Date: 02/07/2017

3. FEC Committee ID #: C00370643 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Purdue Pharma Inc.
One Stamford Forum
Stamford, Connecticut 06901
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Brad Griffin
One Stamford Forum
Stamford, CT 06901
Title: Treasurer
Phone # (203) 588-8083

Treasurer:

Brad Griffin
One Stamford Forum
Stamford, Connecticut 06901
Title: Treasurer
Phone # (203) 588-8083

Designated Agent(s):

Banks or Depositories

JP Morgan Chase Bank
1411 Broadway
New York, New York 10018

Signed: Brad Griffin
Date Signed: 02/07/2017

FORM TEXT-1

(End FEC FORM 1)

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